Nepali Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcomes Instrument: VELO-Nepali
Autor: | Michael M Lindeborg, Naina Mahato, Kabita Bhattarai Gurung, Bhawani Pradhan, Suman Niroula, Pushpa Gaha, Dhana Kumari Khorja, Bhagwati Gaire, Shiba Kala Rai, Januka Tamang, Lila Rana, Renuka Shrestha, Pramila Shakya, Hemanta Dhoj Joshi, Hema Chaudhary, Shankar Man Rai, David A. Shaye, Nilam Shrestha, Phana Rokaya, Badri Rayamajhi, Carole D. Mitnick |
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Rok vydání: | 2020 |
Předmět: |
Nepali
medicine.medical_specialty Velopharyngeal Insufficiency Linguistic validation 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Velopharyngeal insufficiency Surveys and Questionnaires Internal consistency medicine Humans 030212 general & internal medicine Child 030223 otorhinolaryngology business.industry Reproducibility of Results Linguistics language.human_language Test (assessment) Cleft Palate Otorhinolaryngology Quality of Life language Physical therapy Oral Surgery business |
Zdroj: | The Cleft Palate-Craniofacial Journal. 57:967-974 |
ISSN: | 1545-1569 1055-6656 |
Popis: | Objective:To translate and validate the velopharyngeal insufficiency (VPI) effects on life outcomes (VELO) instrument into Nepali, and test its internal consistency and validity.Design:Quality-of-life instrument translation and validation.Setting:Community served by Nepal’s craniofacial referral hospital.Participants:Twenty-three postpalatoplasty children with VPI, 19 family guardians of VPI cases, and 29 non-VPI controls.Interventions:The VELO instrument was translated to Nepali by 2 independent bilingual translators, reconciled, backward-translated, compared, and modified using patient cognitive interviews. All VPI children, guardians, and controls completed the VELO-Nepali.Main Outcome Measure(s):The VELO internal consistency was evaluated using Cronbach α coefficient. Concurrent validity and discriminant validity were assessed using 2-sample t test: assuming unequal variances.Results:The VELO was translated and optimized using cognitive interviews. The VELO-Nepali demonstrated excellent internal consistency, with Cronbach α coefficients of 0.93, 0.94, and 0.90 for VPI cases, guardians of VPI cases, and non-VPI controls, respectively. The VELO-Nepali exhibited strong discriminant validity between VPI cases ([Formula: see text] = 45.4, standard deviation [SD] = 22.1) and non-VPI controls ([Formula: see text] = 84.9, SD = 12.3), ( P < .001). The VELO-Nepali showed strong concurrent validity with similarities in VPI case scores ([Formula: see text] = 45.4, SD = 22.1), and guardian scores ([Formula: see text] = 52.9, s = 22.8; P = .473).Conclusion:The translated VELO-Nepali demonstrates strong internal consistency, discriminant validity, and concurrent validity, and can assess quality of life for Nepali VPI patients. This instrument represents the first VPI quality of life assessment validated in Nepali, and supports the feasibility of its implementation in other low- and low-middle-income countries. |
Databáze: | OpenAIRE |
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